Abstract
Aim. To study the temporal pattern of cardiovascular risk factors and cardiovascular disease (CVD) in the adult cohort depending on outpatient care status.Materials and Methods. We analyzed the incidence of CVD in the adult cohort (n = 1170) admitted to Research Institute – Ochapovsky Regional Clinical Hospital # 1 in 2015 (baseline) and after 3 years of follow-up. Groups were stratified according to the outpatient care status.Results. After 3 years of follow-up, the proportion of patients adhered to unhealthy diet decreased by 32.2%, 28.8% and 28.0% in groups without regular outpatient care, with regular outpatient care, and with regular outpatient care and CVD, respectively, as compared to baseline. Similar trend was observed regarding low physical activity (reduction by 50.3%, 24.7% and 21.8%, respectively) and tobacco smoking (45.6%, 63.0% and 61.8%, respectively). However, patients without regular outpatient care demonstrated an increase in overweight and obesity by 19.2%. Notably, the frequency of arterial hypertension increased by 48.33% in patients without regular outpatient care but decreased by 24% in those with regular outpatient care and CVD.Conclusion. During 3-year outpatient observation, we found a trend to a reduction in prevalence of cardiovascular risk factors, also in patients with CVD. Nevertheless, patients without regular outpatient care showed a statistically significant increase in prevalence of overweight, obesity and arterial hypertension.
Highlights
After 3 years of follow-up, the proportion of patients adhered to unhealthy diet decreased by 32.2%, 28.8% and 28.0% in groups without regular outpatient care, with regular outpatient care, and with regular outpatient care and cardiovascular disease (CVD), respectively, as compared to baseline
The frequency of arterial hypertension increased by 48.33% in patients without regular outpatient care but decreased by 24% in those with regular outpatient care and CVD
During 3-year outpatient observation, we found a trend to a reduction in prevalence of cardiovascular risk factors, in patients with CVD
Summary
Изучение динамики факторов риска сердечно-сосудистых заболеваний (ФР ССЗ) в зависимости от статуса диспансерного наблюдения в когорте взрослого населения, прошедшего первый этап диспансеризации в территориальной поликлинике г. Проведен анализ частоты факторов риска сердечно-сосудистых заболеваний в когорте взрослого населения (n=1170), прошедшего первый этап диспансеризации дважды в 2015 и 2018 годах. Анализ проведен в группах в зависимости от статуса диспансерного наблюдения (не состоящие, состоящие, состоящие с сердечно-сосудистыми заболеваниями). При сравнении частоты нерационального питания между группами обследованных, «не состоящих на диспансерном наблюдении», «всего состоящих на диспансерном наблюдении» и «состоящих на диспансерном наблюдении с сердечно-сосудистыми заболеваниями» в 2015 и 2018 гг., показано снижение нерационального питания на 32,21%, 28,78%. В группах «не состоящих на диспансерном наблюдении», «всего состоящих на диспансерном наблюдении» и «состоящих на диспансерном наблюдении с сердечно-сосудистыми заболеваниями» в 2015 и 2018 г г.
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